Individual
DR. DOUGLAS KEEN TAVENNER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
20 MOUNTAIN GATE DRIVE, FREDERICK, MD 21703-6098
(301) 662-0100
Mailing address
20 MOUNTAIN GATE DRIVE, FREDERICK, MD 21703-6098
(301) 662-0100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5112
MD
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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